L70.0-5/L70.8-9
DESCRIPTION
Acne is an inflammatory condition of the pilosebaceous unit. Secondary changes can lead to scarring and inflammation.
Mild acne:
Predominantly consists of non-inflammatory comedones.
Moderate acne:
Consists of a mixture of non-inflammatory comedones and inflammatory papules and pustules.
Severe acne:
It is characterised by the presence of widespread nodules and cysts, as well as a preponderance of inflammatory papules and pustules.
GENERAL MEASURES
Do not squeeze lesions.
Avoid greasy or oily topical products such as moisturisers that block the hair follicle openings.
Discourage excessive facial washing.
MEDICINE TREATMENT
Primary management: See PHC STGs and EML Acne vulgaris.
Women who need oral contraception and have inflammatory acne can be initiated on a cyproterone acetate-containing combined oral contraceptive pill, provided that they have no personal or family history of breast cancer or thrombosis.
- Cyproterone acetate 2 mg plus ethinyl estradiol 35 mcg, oral.
Discuss all severe cases with a dermatologist.